Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE

Temple, TX · CCN 450054 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

HC HIP ARTHRO W/LABRAL

This hospital’s price: $7,864 across 29 payers · range $2,399-$17,722

Source: https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/741166904_baylor-scott--white-medical-center--temple_standardcharges.csv · observed 2026-06-13

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

21,245 distinct procedures filed
35 distinct payers
1,433,519 rate rows
2026-02-21 last MRF observed
Data quality

1,422,594 of 1,433,519 rate rows are consumer-grade (99.2%)

10,925 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,859
placeholder amount (≤ $0.02) — excluded from medians 2,933
per-diem day rate — not a per-procedure price 1,562
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 820
exceeds 10× this hospital's gross charge — excluded from medians 450
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 271
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 27
template filing: same amount across many unrelated codes — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/741166904_baylor-scott--white-medical-center--temple_standardcharges.csv
Found on page https://www.bswhealth.com/patient-tools/patient-registration-and-billing/estimate-your-cost-care/
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint 1df2b0cc725c15dd… · 651,773,639 bytes · first seen 2026-11-02

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
Q2041
HCPCS 		Hc Yescarta (including Apheresis) 30 $437,231.40 $2,623,388.40 $1,514,278.08 nat. median
$608,239
outlier · 2.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $207,420.40 $703,268.29 $386,779.79 nat. median
$359,244
1.1× median
5834
APR_DRG 		Inpatient Aprdrg 5834: Neonate With Ecmo 1 $382,571.77 $382,571.77 $382,571.77 nat. median
$307,273
1.2× median
74
APR_DRG 		Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 $372,166.17 $372,166.17 $372,166.17 nat. median
$170,172
outlier · 2.2×
5833
APR_DRG 		Inpatient Aprdrg 5833: Neonate With Ecmo 1 $323,947.71 $323,947.71 $323,947.71 nat. median
$244,017
1.3× median
24
APR_DRG 		Inpatient Aprdrg 0024: Heart And/or Lung Transplant 1 $311,628.52 $311,628.52 $311,628.52 nat. median
$241,734
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $130,000.00 $525,282.46 $247,410.88 nat. median
$248,541
1.0× median
5884
APR_DRG 		Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $242,161.65 $242,161.65 $242,161.65 nat. median
$247,815
1.0× median
1614
APR_DRG 		Inpatient Aprdrg 1614: Implantable Heart Assist Systems 1 $235,155.58 $235,155.58 $235,155.58 nat. median
$202,649
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $6,368.00 $442,382.77 $231,239.18 nat. median
$198,115
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $6,368.00 $399,656.48 $221,368.67 nat. median
$190,359
1.2× median
94
APR_DRG 		Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 $220,303.75 $220,303.75 $220,303.75 nat. median
$163,718
1.3× median
27801347-807157
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 25 $46,014.30 $276,085.80 $199,395.30 nat. median
$199,395
1.0× median
27500234
CDM 		Hc Heartmate 3 Lvad Implant 25 $44,216.81 $265,300.88 $191,606.19 nat. median
$163,468
1.2× median
81200003
CDM 		Hc Std Acq Chg Cadaver Kidney/pancreas 20 $47,457.82 $284,746.91 $180,339.71 nat. median
$155,978
1.2× median
6304
APR_DRG 		Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 1 $180,184.41 $180,184.41 $180,184.41 nat. median
$154,116
1.2× median
6094
APR_DRG 		Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $178,587.66 $178,587.66 $178,587.66 nat. median
$165,000
1.1× median
5832
APR_DRG 		Inpatient Aprdrg 5832: Neonate With Ecmo 1 $161,415.75 $161,415.75 $161,415.75 nat. median
$159,249
1.0× median
114
APR_DRG 		Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 $153,274.82 $153,274.82 $153,274.82 nat. median
$123,836
1.2× median
27802052-445170
CDM 		Shell, No Hcpcs, For Lvad Implants Only 25 $35,028.80 $210,172.81 $151,791.47 nat. median
$151,791
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $6,182.00 $263,496.24 $147,966.35 nat. median
$126,461
1.2× median
2004
APR_DRG 		Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders 1 $142,434.52 $142,434.52 $142,434.52 nat. median
$28,252
outlier · 5.0×
81200017
CDM 		Hc Std Acq Chg Cadaver Liver/kidney 20 $37,409.28 $224,455.68 $142,155.27 nat. median
$149,637
1.0× median
5831
APR_DRG 		Inpatient Aprdrg 5831: Neonate With Ecmo 1 $142,129.78 $142,129.78 $142,129.78 nat. median
$147,206
1.0× median
27802052-778176
CDM 		Shell, No Hcpcs, For Lvad Implants Only 25 $32,287.50 $193,725.00 $139,912.50 nat. median
$139,912
1.0× median
27800187
CDM 		Hc Kit, Heartmate Ii Vad Implant 25 $32,287.50 $193,725.00 $139,912.50 nat. median
$132,707
1.1× median
27801850
CDM 		Hc Heartware Hvad Pump 25 $31,069.80 $186,418.80 $134,635.80 nat. median
$134,636
1.0× median
27801347-1196342
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 25 $31,069.80 $186,418.80 $134,635.80 nat. median
$134,636
1.0× median
73
APR_DRG 		Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 $131,323.22 $131,323.22 $131,323.22 nat. median
$89,273
1.5× median
5883
APR_DRG 		Inpatient Aprdrg 5883: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $129,936.01 $129,936.01 $129,936.01 nat. median
$175,429
0.7× median
27801347-98612
CDM 		Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 25 $29,889.00 $179,334.00 $129,519.00 nat. median
$129,519
1.0× median
5882
APR_DRG 		Inpatient Aprdrg 5882: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $129,342.14 $129,342.14 $129,342.14 nat. median
$145,061
0.9× median
27500176-389049
CDM 		Hc Shell Cardio-defib Other Than Single Or Dual Chamber 25 $29,792.07 $178,752.42 $129,098.97 nat. median
$129,099
1.0× median
44
APR_DRG 		Inpatient Aprdrg 0044: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $129,007.68 $129,007.68 $129,007.68 nat. median
$122,016
1.1× median
8414
APR_DRG 		Inpatient Aprdrg 8414: Extensive Third Degree Burns With Skin Graft 1 $128,453.10 $128,453.10 $128,453.10 nat. median
$158,104
0.8× median
6314
APR_DRG 		Inpatient Aprdrg 6314: Neonate Birth Weight > 2499 Grams With Other Major Proced… 1 $127,170.15 $127,170.15 $127,170.15 nat. median
$134,402
0.9× median
81200004
CDM 		Hc Std Acq Chg Cadaver Heart 20 $33,103.31 $198,619.88 $125,792.60 nat. median
$123,586
1.0× median
8504
APR_DRG 		Inpatient Aprdrg 8504: Procedure With Diagnosis Of Rehabilitation, Aftercare Or… 1 $123,819.99 $123,819.99 $123,819.99 nat. median
$66,663
1.9× median
5914
APR_DRG 		Inpatient Aprdrg 5914: Neonate Birth Weight 500-749 Grams Without Major Procedur… 1 $122,710.82 $122,710.82 $122,710.82 nat. median
$163,528
0.8× median
1613
APR_DRG 		Inpatient Aprdrg 1613: Implantable Heart Assist Systems 1 $122,566.26 $122,566.26 $122,566.26 nat. median
$120,841
1.0× median
5881
APR_DRG 		Inpatient Aprdrg 5881: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $121,918.49 $121,918.49 $121,918.49 nat. median
$120,763
1.0× median
27802052-389434
CDM 		Shell, No Hcpcs, For Lvad Implants Only 25 $26,937.00 $161,622.00 $116,727.00 nat. median
$116,727
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $72,059.90 $222,293.84 $116,133.43 nat. median
$110,084
1.1× median
7
MS_DRG 		Lung Transplant 12 $71,878.40 $274,596.97 $115,845.90 nat. median
$117,977
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $6,368.00 $203,149.45 $114,613.60 nat. median
$97,137
1.2× median
14
APR_DRG 		Inpatient Aprdrg 0014: Liver Transplant And/or Intestinal Transplant 1 $111,630.76 $111,630.76 $111,630.76 nat. median
$137,051
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $60,608.35 $274,596.97 $111,617.18 nat. median
$103,938
1.1× median
84
APR_DRG 		Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 $111,183.47 $111,183.47 $111,183.47 nat. median
$78,013
1.4× median
6814
APR_DRG 		Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic, Hematopoietic Or Ot… 1 $109,207.92 $109,207.92 $109,207.92 nat. median
$67,951
1.6× median
1604
APR_DRG 		Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 1 $109,146.98 $109,146.98 $109,146.98 nat. median
$98,831
1.1× median

Other procedures at this hospital

Browse this hospital's 21,245 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2041 HCPCS Hc Yescarta (including Apheresis) 50 30 $2,914,876.00 $1,748,925.60 40% off $437,231.40 $2,623,388.40 $1,514,278.08 2026-02-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 15 — — $207,420.40 $703,268.29 $386,779.79 2026-02-21
5834 APR_DRG Inpatient Aprdrg 5834: Neonate With Ecmo 1 1 — — $382,571.77 $382,571.77 $382,571.77 2026-02-21
74 APR_DRG Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant 1 1 — — $372,166.17 $372,166.17 $372,166.17 2026-02-21
5833 APR_DRG Inpatient Aprdrg 5833: Neonate With Ecmo 1 1 — — $323,947.71 $323,947.71 $323,947.71 2026-02-21
24 APR_DRG Inpatient Aprdrg 0024: Heart And/or Lung Transplant 1 1 — — $311,628.52 $311,628.52 $311,628.52 2026-02-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 15 — — $130,000.00 $525,282.46 $247,410.88 2026-02-21
5884 APR_DRG Inpatient Aprdrg 5884: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $242,161.65 $242,161.65 $242,161.65 2026-02-21
1614 APR_DRG Inpatient Aprdrg 1614: Implantable Heart Assist Systems 1 1 — — $235,155.58 $235,155.58 $235,155.58 2026-02-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 19 — — $6,368.00 $442,382.77 $231,239.18 2026-02-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 19 — — $6,368.00 $399,656.48 $221,368.67 2026-02-21
94 APR_DRG Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $220,303.75 $220,303.75 $220,303.75 2026-02-21
27801347-807157 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $306,762.00 $184,057.20 40% off $46,014.30 $276,085.80 $199,395.30 2026-02-21
27500234 CDM Hc Heartmate 3 Lvad Implant 46 25 $294,778.75 $176,867.25 40% off $44,216.81 $265,300.88 $191,606.19 2026-02-21
81200003 CDM Hc Std Acq Chg Cadaver Kidney/pancreas 32 20 $316,385.45 $189,831.27 40% off $47,457.82 $284,746.91 $180,339.71 2026-02-21
6304 APR_DRG Inpatient Aprdrg 6304: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 1 1 — — $180,184.41 $180,184.41 $180,184.41 2026-02-21
6094 APR_DRG Inpatient Aprdrg 6094: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $178,587.66 $178,587.66 $178,587.66 2026-02-21
5832 APR_DRG Inpatient Aprdrg 5832: Neonate With Ecmo 1 1 — — $161,415.75 $161,415.75 $161,415.75 2026-02-21
114 APR_DRG Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $153,274.82 $153,274.82 $153,274.82 2026-02-21
27802052-445170 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $233,525.34 $140,115.20 40% off $35,028.80 $210,172.81 $151,791.47 2026-02-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 19 — — $6,182.00 $263,496.24 $147,966.35 2026-02-21
2004 APR_DRG Inpatient Aprdrg 2004: Cardiac Structural And Valvular Disorders 1 1 — — $142,434.52 $142,434.52 $142,434.52 2026-02-21
81200017 CDM Hc Std Acq Chg Cadaver Liver/kidney 32 20 $249,395.20 $149,637.12 40% off $37,409.28 $224,455.68 $142,155.27 2026-02-21
5831 APR_DRG Inpatient Aprdrg 5831: Neonate With Ecmo 1 1 — — $142,129.78 $142,129.78 $142,129.78 2026-02-21
27802052-778176 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $215,250.00 $129,150.00 40% off $32,287.50 $193,725.00 $139,912.50 2026-02-21
27800187 CDM Hc Kit, Heartmate Ii Vad Implant 46 25 $215,250.00 $129,150.00 40% off $32,287.50 $193,725.00 $139,912.50 2026-02-21
27801850 CDM Hc Heartware Hvad Pump 46 25 $207,132.00 $124,279.20 40% off $31,069.80 $186,418.80 $134,635.80 2026-02-21
27801347-1196342 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $207,132.00 $124,279.20 40% off $31,069.80 $186,418.80 $134,635.80 2026-02-21
73 APR_DRG Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant 1 1 — — $131,323.22 $131,323.22 $131,323.22 2026-02-21
5883 APR_DRG Inpatient Aprdrg 5883: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $129,936.01 $129,936.01 $129,936.01 2026-02-21
27801347-98612 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $199,260.00 $119,556.00 40% off $29,889.00 $179,334.00 $129,519.00 2026-02-21
5882 APR_DRG Inpatient Aprdrg 5882: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $129,342.14 $129,342.14 $129,342.14 2026-02-21
27500176-389049 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 46 25 $198,613.80 $119,168.28 40% off $29,792.07 $178,752.42 $129,098.97 2026-02-21
44 APR_DRG Inpatient Aprdrg 0044: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $129,007.68 $129,007.68 $129,007.68 2026-02-21
8414 APR_DRG Inpatient Aprdrg 8414: Extensive Third Degree Burns With Skin Graft 1 1 — — $128,453.10 $128,453.10 $128,453.10 2026-02-21
6314 APR_DRG Inpatient Aprdrg 6314: Neonate Birth Weight > 2499 Grams With Other Major Proced… 1 1 — — $127,170.15 $127,170.15 $127,170.15 2026-02-21
81200004 CDM Hc Std Acq Chg Cadaver Heart 32 20 $220,688.76 $132,413.26 40% off $33,103.31 $198,619.88 $125,792.60 2026-02-21
8504 APR_DRG Inpatient Aprdrg 8504: Procedure With Diagnosis Of Rehabilitation, Aftercare Or … 1 1 — — $123,819.99 $123,819.99 $123,819.99 2026-02-21
5914 APR_DRG Inpatient Aprdrg 5914: Neonate Birth Weight 500-749 Grams Without Major Procedur… 1 1 — — $122,710.82 $122,710.82 $122,710.82 2026-02-21
1613 APR_DRG Inpatient Aprdrg 1613: Implantable Heart Assist Systems 1 1 — — $122,566.26 $122,566.26 $122,566.26 2026-02-21
5881 APR_DRG Inpatient Aprdrg 5881: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $121,918.49 $121,918.49 $121,918.49 2026-02-21
27802052-389434 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $179,580.00 $107,748.00 40% off $26,937.00 $161,622.00 $116,727.00 2026-02-21
14 MS_DRG Allogeneic Bone Marrow Transplant 14 12 — — $72,059.90 $222,293.84 $116,133.43 2026-02-21
7 MS_DRG Lung Transplant 15 12 — — $71,878.40 $274,596.97 $115,845.90 2026-02-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 19 — — $6,368.00 $203,149.45 $114,613.60 2026-02-21
14 APR_DRG Inpatient Aprdrg 0014: Liver Transplant And/or Intestinal Transplant 1 1 — — $111,630.76 $111,630.76 $111,630.76 2026-02-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 15 — — $60,608.35 $274,596.97 $111,617.18 2026-02-21
84 APR_DRG Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $111,183.47 $111,183.47 $111,183.47 2026-02-21
6814 APR_DRG Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic, Hematopoietic Or Ot… 1 1 — — $109,207.92 $109,207.92 $109,207.92 2026-02-21
1604 APR_DRG Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $109,146.98 $109,146.98 $109,146.98 2026-02-21
93 APR_DRG Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $108,234.76 $108,234.76 $108,234.76 2026-02-21
215 MS_DRG Other Heart Assist System Implant 37 19 — — $6,182.00 $197,571.83 $107,759.36 2026-02-21
81200001 CDM Hc Std Acq Chg Cadaver Kidney 32 20 $185,810.00 $111,486.00 40% off $27,871.50 $167,229.00 $105,911.70 2026-02-21
2464 APR_DRG Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency 1 1 — — $105,842.15 $105,842.15 $105,842.15 2026-02-21
6034 APR_DRG Inpatient Aprdrg 6034: Neonate Birth Weight 1000-1249 Grams With Or Without Sign… 1 1 — — $105,296.13 $105,296.13 $105,296.13 2026-02-21
64 APR_DRG Inpatient Aprdrg 0064: Pancreas Transplant 1 1 — — $102,186.74 $102,186.74 $102,186.74 2026-02-21
5891 APR_DRG Inpatient Aprdrg 5891: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 1 1 — — $102,178.68 $102,178.68 $102,178.68 2026-02-21
5934 APR_DRG Inpatient Aprdrg 5934: Neonate Birth Weight 750-999 Grams Without Major Procedur… 1 1 — — $101,872.93 $101,872.93 $101,872.93 2026-02-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 20 — — $53,081.05 $179,973.71 $101,804.73 2026-02-21
27201912-261835 CDM Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) 35 21 $183,639.00 $110,183.40 40% off $27,545.85 $165,275.10 $101,001.45 2026-02-21
5892 APR_DRG Inpatient Aprdrg 5892: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 1 1 — — $99,032.02 $99,032.02 $99,032.02 2026-02-21
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 11 6 — — $35,308.00 $122,722.00 $98,299.51 2026-02-21
1624 APR_DRG Inpatient Aprdrg 1624: Cardiac Valve Procedures With Ami Or Complex Principal Di… 1 1 — — $95,212.40 $95,212.40 $95,212.40 2026-02-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 12 — — $58,571.70 $202,084.06 $94,765.20 2026-02-21
6024 APR_DRG Inpatient Aprdrg 6024: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis… 1 1 — — $93,649.90 $93,649.90 $93,649.90 2026-02-21
5893 APR_DRG Inpatient Aprdrg 5893: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999… 1 1 — — $92,889.80 $92,889.80 $92,889.80 2026-02-21
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 53 29 $187,807.50 $112,684.50 40% off $28,171.12 $169,026.75 $92,589.10 2026-02-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 20 — — $26,466.00 $158,021.29 $89,671.92 2026-02-21
6214 APR_DRG Inpatient Aprdrg 6214: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $88,931.16 $88,931.16 $88,931.16 2026-02-21
72 APR_DRG Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant 1 1 — — $88,234.53 $88,234.53 $88,234.53 2026-02-21
1612 APR_DRG Inpatient Aprdrg 1612: Implantable Heart Assist Systems 1 1 — — $88,106.08 $88,106.08 $88,106.08 2026-02-21
113 APR_DRG Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $87,098.67 $87,098.67 $87,098.67 2026-02-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 20 — — $35,308.00 $157,933.64 $87,057.60 2026-02-21
8634 APR_DRG Inpatient Aprdrg 8634: Neonatal Aftercare 1 1 — — $85,747.72 $85,747.72 $85,747.72 2026-02-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 19 — — $6,182.00 $150,323.39 $85,417.44 2026-02-21
6303 APR_DRG Inpatient Aprdrg 6303: Neonate Birth Weight > 2499 Grams With Major Cardiovascul… 1 1 — — $84,924.16 $84,924.16 $84,924.16 2026-02-21
1611 APR_DRG Inpatient Aprdrg 1611: Implantable Heart Assist Systems 1 1 — — $83,560.62 $83,560.62 $83,560.62 2026-02-21
4404 APR_DRG Inpatient Aprdrg 4404: Kidney Transplant 1 1 — — $83,354.10 $83,354.10 $83,354.10 2026-02-21
54 APR_DRG Inpatient Aprdrg 0054: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 1 1 — — $82,973.30 $82,973.30 $82,973.30 2026-02-21
43 APR_DRG Inpatient Aprdrg 0043: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $82,945.09 $82,945.09 $82,945.09 2026-02-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 20 — — $42,990.20 $145,760.23 $82,895.44 2026-02-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 20 — — $42,556.25 $144,288.90 $82,082.25 2026-02-21
5913 APR_DRG Inpatient Aprdrg 5913: Neonate Birth Weight 500-749 Grams Without Major Procedur… 1 1 — — $80,804.84 $80,804.84 $80,804.84 2026-02-21
6804 APR_DRG Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic, Hematopoietic Or Oth… 1 1 — — $80,804.84 $80,804.84 $80,804.84 2026-02-21
6084 APR_DRG Inpatient Aprdrg 6084: Neonate Birth Weight 1250-1499 Grams With Or Without Sign… 1 1 — — $80,575.65 $80,575.65 $80,575.65 2026-02-21
4414 APR_DRG Inpatient Aprdrg 4414: Major Bladder Procedures 1 1 — — $78,883.19 $78,883.19 $78,883.19 2026-02-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 15 — — $43,600.15 $189,830.00 $77,542.68 2026-02-21
J9043 HCPCS Cabazitaxel 10 mg/mL (first Dilution) Intravenous Solution 52 28 $161,632.27 $96,979.36 40% off $205.63 $145,469.04 $77,017.77 2026-02-21
23 APR_DRG Inpatient Aprdrg 0023: Heart And/or Lung Transplant 1 1 — — $76,754.02 $76,754.02 $76,754.02 2026-02-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 20 — — $9,144.00 $139,192.40 $75,840.03 2026-02-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 20 — — $38,868.50 $131,785.42 $75,565.16 2026-02-21
83 APR_DRG Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 1 — — $75,151.72 $75,151.72 $75,151.72 2026-02-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 19 — — $38,260.75 $129,724.81 $74,032.91 2026-02-21
1784 APR_DRG Inpatient Aprdrg 1784: External Heart Assist Systems 1 1 — — $73,882.88 $73,882.88 $73,882.88 2026-02-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 11 6 — — $35,308.00 $91,851.00 $73,572.10 2026-02-21
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
238 MS_DRG — 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
230 MS_DRG — 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
237 MS_DRG — 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $73,234.00 $73,234.00 $73,234.00 2026-02-21
5933 APR_DRG Inpatient Aprdrg 5933: Neonate Birth Weight 750-999 Grams Without Major Procedur… 1 1 — — $72,759.61 $72,759.61 $72,759.61 2026-02-21
6114 APR_DRG Inpatient Aprdrg 6114: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $72,676.00 $72,676.00 $72,676.00 2026-02-21
1674 APR_DRG Inpatient Aprdrg 1674: Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $72,354.63 $72,354.63 $72,354.63 2026-02-21
6904 APR_DRG Inpatient Aprdrg 6904: Acute Leukemia 1 1 — — $71,704.85 $71,704.85 $71,704.85 2026-02-21
10 MS_DRG Pancreas Transplant 16 15 — — $43,851.50 $151,864.00 $71,445.17 2026-02-21
434 APR_DRG Inpatient Aprdrg 0434: Multiple Sclerosis, Other Demyelinating Disease And Infla… 1 1 — — $71,265.62 $71,265.62 $71,265.62 2026-02-21
92 APR_DRG Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $71,185.53 $71,185.53 $71,185.53 2026-02-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 19 — — $36,671.80 $126,634.00 $71,172.35 2026-02-21
81100001 CDM Hc Std Acq Chg Live Donor Kidney 32 20 $123,509.00 $74,105.40 40% off $18,526.35 $111,158.10 $70,400.13 2026-02-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 20 — — $35,518.45 $120,426.92 $70,112.74 2026-02-21
91 APR_DRG Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $69,035.70 $69,035.70 $69,035.70 2026-02-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 19 — — $35,569.60 $120,600.35 $68,989.92 2026-02-21
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 11 6 — — $35,308.00 $84,705.00 $67,848.12 2026-02-21
6334 APR_DRG Inpatient Aprdrg 6334: Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $67,584.52 $67,584.52 $67,584.52 2026-02-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 37 19 — — $6,182.00 $117,935.55 $67,517.13 2026-02-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 20 — — $9,144.00 $127,334.14 $67,442.08 2026-02-21
3034 APR_DRG Inpatient Aprdrg 3034: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $67,172.48 $67,172.48 $67,172.48 2026-02-21
5912 APR_DRG Inpatient Aprdrg 5912: Neonate Birth Weight 500-749 Grams Without Major Procedur… 1 1 — — $66,717.13 $66,717.13 $66,717.13 2026-02-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 20 — — $34,069.20 $115,513.17 $66,524.70 2026-02-21
6074 APR_DRG Inpatient Aprdrg 6074: Neonate Birth Weight 1250-1499 Grams With Respiratory Dis… 1 1 — — $66,064.33 $66,064.33 $66,064.33 2026-02-21
63 APR_DRG Inpatient Aprdrg 0063: Pancreas Transplant 1 1 — — $66,037.13 $66,037.13 $66,037.13 2026-02-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 20 — — $33,597.85 $113,915.04 $65,983.16 2026-02-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 19 — — $6,368.00 $124,548.13 $65,899.83 2026-02-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 19 — — $33,870.10 $114,838.11 $65,805.22 2026-02-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 38 20 — — $9,144.00 $114,437.18 $65,583.67 2026-02-21
27802052-1242630 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $100,860.00 $60,516.00 40% off $15,129.00 $90,774.00 $65,559.00 2026-02-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 20 — — $32,949.40 $115,390.00 $64,853.26 2026-02-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 20 — — $32,363.10 $109,728.56 $64,437.00 2026-02-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 20 — — $32,721.15 $110,942.55 $63,652.23 2026-02-21
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 37 21 $115,440.00 $69,264.00 40% off $17,316.00 $103,896.00 $63,492.00 2026-02-21
2204 APR_DRG Inpatient Aprdrg 2204: Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $62,953.43 $62,953.43 $62,953.43 2026-02-21
28 MS_DRG Spinal Procedures With Mcc 38 20 — — $25,893.00 $113,370.52 $62,682.63 2026-02-21
6134 APR_DRG Inpatient Aprdrg 6134: Neonate Birth Weight 1500-1999 Grams With Congenital Or P… 1 1 — — $62,610.40 $62,610.40 $62,610.40 2026-02-21
4474 APR_DRG Inpatient Aprdrg 4474: Other Kidney, Urinary Tract And Related Procedures 1 1 — — $62,463.82 $62,463.82 $62,463.82 2026-02-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 37 19 — — $6,182.00 $108,574.25 $62,343.31 2026-02-21
22 APR_DRG Inpatient Aprdrg 0022: Heart And/or Lung Transplant 1 1 — — $61,658.90 $61,658.90 $61,658.90 2026-02-21
234 APR_DRG Inpatient Aprdrg 0234: Spinal Procedures 1 1 — — $61,538.51 $61,538.51 $61,538.51 2026-02-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 20 — — $31,566.70 $107,028.33 $61,488.89 2026-02-21
9104 APR_DRG Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma 1 1 — — $61,315.87 $61,315.87 $61,315.87 2026-02-21
112 APR_DRG Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth… 1 1 — — $60,528.07 $60,528.07 $60,528.07 2026-02-21
6023 APR_DRG Inpatient Aprdrg 6023: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis… 1 1 — — $60,525.55 $60,525.55 $60,525.55 2026-02-21
653 MS_DRG Major Bladder Procedures With Mcc 35 19 — — $30,660.30 $103,955.14 $59,790.39 2026-02-21
53 APR_DRG Inpatient Aprdrg 0053: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 1 1 — — $59,771.00 $59,771.00 $59,771.00 2026-02-21
62 APR_DRG Inpatient Aprdrg 0062: Pancreas Transplant 1 1 — — $59,729.69 $59,729.69 $59,729.69 2026-02-21
9504 APR_DRG Inpatient Aprdrg 9504: Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $59,495.47 $59,495.47 $59,495.47 2026-02-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 19 — — $6,182.00 $103,073.09 $59,302.89 2026-02-21
834 MS_DRG Acute Leukemia With Mcc 35 19 — — $30,400.15 $103,073.09 $59,302.89 2026-02-21
27801347-1218340 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $91,020.00 $54,612.00 40% off $13,653.00 $81,918.00 $59,163.00 2026-02-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 20 — — $31,378.05 $106,388.70 $58,963.57 2026-02-21
61 APR_DRG Inpatient Aprdrg 0061: Pancreas Transplant 1 1 — — $58,958.52 $58,958.52 $58,958.52 2026-02-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 17 — — $48,651.81 $92,182.37 $58,420.76 2026-02-21
81200002 CDM Hc Std Acq Chg Cadaver Pancreas 32 20 $102,432.00 $61,459.20 40% off $15,364.80 $92,188.80 $58,386.24 2026-02-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 19 — — $29,857.85 $101,234.40 $58,286.67 2026-02-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 37 19 — — $6,182.00 $100,611.55 $57,942.44 2026-02-21
71 APR_DRG Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant 1 1 — — $57,938.01 $57,938.01 $57,938.01 2026-02-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 20 — — $29,131.85 $98,772.86 $57,850.21 2026-02-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 20 — — $9,144.00 $100,717.85 $57,825.99 2026-02-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 20 — — $29,261.10 $99,211.09 $57,660.30 2026-02-21
27801347-1926393 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $88,560.00 $53,136.00 40% off $13,284.00 $79,704.00 $57,564.00 2026-02-21
27800973 CDM Hc Corevalue Aortic 46 25 $88,500.00 $53,100.00 40% off $13,275.00 $79,650.00 $57,525.00 2026-02-21
13 APR_DRG Inpatient Aprdrg 0013: Liver Transplant And/or Intestinal Transplant 1 1 — — $57,514.89 $57,514.89 $57,514.89 2026-02-21
6093 APR_DRG Inpatient Aprdrg 6093: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $57,446.89 $57,446.89 $57,446.89 2026-02-21
264 APR_DRG Inpatient Aprdrg 0264: Other Nervous System And Related Procedures 1 1 — — $57,412.13 $57,412.13 $57,412.13 2026-02-21
5932 APR_DRG Inpatient Aprdrg 5932: Neonate Birth Weight 750-999 Grams Without Major Procedur… 1 1 — — $57,164.31 $57,164.31 $57,164.31 2026-02-21
3033 APR_DRG Inpatient Aprdrg 3033: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $56,825.31 $56,825.31 $56,825.31 2026-02-21
1824 APR_DRG Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures 1 1 — — $56,779.48 $56,779.48 $56,779.48 2026-02-21
1634 APR_DRG Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Principal… 1 1 — — $56,745.73 $56,745.73 $56,745.73 2026-02-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 37 19 — — $6,182.00 $100,622.74 $55,988.99 2026-02-21
27801848 CDM Hc Impella 5.5 46 25 $86,100.00 $51,660.00 40% off $12,915.00 $77,490.00 $55,965.00 2026-02-21
27801347-1355910 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $86,100.00 $51,660.00 40% off $12,915.00 $77,490.00 $55,965.00 2026-02-21
7924 APR_DRG Inpatient Aprdrg 7924: Extensive O.r. Procedures For Other Complications Of Trea… 1 1 — — $55,816.89 $55,816.89 $55,816.89 2026-02-21
3044 APR_DRG Inpatient Aprdrg 3044: Dorsal And Lumbar Fusion Procedure Except For Curvature O… 1 1 — — $55,803.29 $55,803.29 $55,803.29 2026-02-21
2054 APR_DRG Inpatient Aprdrg 2054: Cardiomyopathy 1 1 — — $55,645.63 $55,645.63 $55,645.63 2026-02-21
6954 APR_DRG Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia 1 1 — — $55,574.10 $55,574.10 $55,574.10 2026-02-21
8413 APR_DRG Inpatient Aprdrg 8413: Extensive Third Degree Burns With Skin Graft 1 1 — — $55,517.18 $55,517.18 $55,517.18 2026-02-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 19 — — $28,231.50 $95,720.18 $55,239.06 2026-02-21
27203217 CDM Hc Heart Valve Sapien Edwards 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27500176-143739 CDM Hc Shell Cardio-defib Other Than Single Or Dual Chamber 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27802052-101684 CDM Shell, No Hcpcs, For Lvad Implants Only 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27801917-1534761 CDM Shell Generator, Cardiac Contractility Modulation 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27801815 CDM Hc Mitraclip Delivery System Kit (w/guiding Cath) 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
C1823 HCPCS Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads 45 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
C1604 HCPCS Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass … 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27801347-104268 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27800957 CDM Hc Catheter Set Pump Ventricular Assist Impella 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27800190 CDM Hc Impella 5.0 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
27801855-1778845 CDM Hc Shell Generator, Neurostimulator, Non-recharge With Carotid 46 25 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $55,233.75 2026-02-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 20 — — $28,020.30 $95,817.00 $54,843.28 2026-02-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 19 — — $27,934.50 $94,713.19 $54,682.49 2026-02-21
52 APR_DRG Inpatient Aprdrg 0052: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 1 1 — — $54,584.32 $54,584.32 $54,584.32 2026-02-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 13 — — $33,197.45 $170,846.00 $54,566.81 2026-02-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 13 — — $33,197.45 $170,846.00 $54,566.81 2026-02-21
6514 APR_DRG Inpatient Aprdrg 6514: Other Procedures Of Blood And Blood-forming Organs 1 1 — — $54,401.47 $54,401.47 $54,401.47 2026-02-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 39 20 — — $6,182.00 $93,085.00 $54,258.22 2026-02-21
42 APR_DRG Inpatient Aprdrg 0042: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $54,231.72 $54,231.72 $54,231.72 2026-02-21
27800246 CDM Hc Kit, Catheter Impella Pump 46 25 $82,850.63 $49,710.38 40% off $12,427.59 $74,565.57 $53,852.91 2026-02-21
6144 APR_DRG Inpatient Aprdrg 6144: Neonate Birth Weight 1500-1999 Grams With Or Without Othe… 1 1 — — $53,662.03 $53,662.03 $53,662.03 2026-02-21
1623 APR_DRG Inpatient Aprdrg 1623: Cardiac Valve Procedures With Ami Or Complex Principal Di… 1 1 — — $53,570.86 $53,570.86 $53,570.86 2026-02-21
214 APR_DRG Inpatient Aprdrg 0214: Open Craniotomy Except Trauma 1 1 — — $53,443.92 $53,443.92 $53,443.92 2026-02-21
2304 APR_DRG Inpatient Aprdrg 2304: Major Small Bowel Procedures 1 1 — — $53,251.00 $53,251.00 $53,251.00 2026-02-21
224 APR_DRG Inpatient Aprdrg 0224: Ventricular Shunt Procedures 1 1 — — $53,040.96 $53,040.96 $53,040.96 2026-02-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 19 — — $27,539.60 $93,374.27 $52,764.96 2026-02-21
4424 APR_DRG Inpatient Aprdrg 4424: Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $52,750.32 $52,750.32 $52,750.32 2026-02-21
9524 APR_DRG Inpatient Aprdrg 9524: Non-extensive O.r. Procedure Unrelated To Principal Diagn… 1 1 — — $52,426.43 $52,426.43 $52,426.43 2026-02-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 19 — — $6,182.00 $93,928.11 $52,414.12 2026-02-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 37 19 — — $6,182.00 $93,264.24 $52,059.60 2026-02-21
9114 APR_DRG Inpatient Aprdrg 9114: Extensive Abdominal Or Thoracic Procedures For Multiple S… 1 1 — — $51,947.41 $51,947.41 $51,947.41 2026-02-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 37 20 — — $25,875.85 $90,157.00 $51,356.77 2026-02-21
799 MS_DRG Splenic Procedures With Mcc 35 19 — — $26,151.40 $88,667.51 $51,341.15 2026-02-21
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 11 6 — — $35,308.00 $63,783.00 $51,089.92 2026-02-21
4403 APR_DRG Inpatient Aprdrg 4403: Kidney Transplant 1 1 — — $51,016.55 $51,016.55 $51,016.55 2026-02-21
3154 APR_DRG Inpatient Aprdrg 3154: Shoulder, Upper Arm And Forearm Procedures Except Joint R… 1 1 — — $51,013.03 $51,013.03 $51,013.03 2026-02-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 19 — — $6,368.00 $93,301.54 $50,994.53 2026-02-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 20 — — $25,259.30 $85,878.00 $50,878.11 2026-02-21
471 MS_DRG Cervical Spinal Fusion With Mcc 38 20 — — $26,715.15 $90,578.93 $50,849.82 2026-02-21
1694 APR_DRG Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures 1 1 — — $50,839.75 $50,839.75 $50,839.75 2026-02-21
1204 APR_DRG Inpatient Aprdrg 1204: Major Respiratory And Chest Procedures 1 1 — — $50,633.23 $50,633.23 $50,633.23 2026-02-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 36 20 — — $25,585.45 $88,350.00 $50,543.74 2026-02-21
4834 APR_DRG Inpatient Aprdrg 4834: Penis, Testes And Scrotal Procedures 1 1 — — $50,440.82 $50,440.82 $50,440.82 2026-02-21
894 APR_DRG Inpatient Aprdrg 0894: Major Cranial Or Facial Bone Procedures 1 1 — — $49,899.83 $49,899.83 $49,899.83 2026-02-21
163 MS_DRG Major Chest Procedures With Mcc 37 19 — — $6,182.00 $87,079.00 $49,840.50 2026-02-21
9124 APR_DRG Inpatient Aprdrg 9124: Musculoskeletal And Other Procedures For Multiple Signifi… 1 1 — — $49,833.85 $49,833.85 $49,833.85 2026-02-21
1304 APR_DRG Inpatient Aprdrg 1304: Respiratory System Diagnosis With Ventilator Support > 96… 1 1 — — $49,821.25 $49,821.25 $49,821.25 2026-02-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 16 — — $25,340.15 $202,084.06 $49,820.93 2026-02-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 19 — — $25,255.45 $85,629.75 $49,662.21 2026-02-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 19 — — $6,182.00 $88,650.73 $49,595.99 2026-02-21
245 MS_DRG Aicd Generator Procedures 38 20 — — $26,877.40 $91,129.05 $49,532.28 2026-02-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 14 — — $29,926.05 $189,830.00 $49,384.21 2026-02-21
1654 APR_DRG Inpatient Aprdrg 1654: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $49,079.29 $49,079.29 $49,079.29 2026-02-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 37 19 — — $6,182.00 $87,263.32 $48,855.13 2026-02-21
27801347-303311 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $75,075.00 $45,045.00 40% off $11,261.25 $67,567.50 $48,798.75 2026-02-21
0424T OTHER Hc Insj/rplc Nstim System Sleep Apnea Complete 32 20 $86,663.76 $51,998.26 40% off $5,388.00 $77,997.38 $48,729.06 2026-02-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 37 19 — — $6,182.00 $89,053.52 $48,684.96 2026-02-21
33276 HCPCS Hc Insertion Phrenic Nerve Stimulator System 51 29 $86,663.76 $51,998.26 40% off $8,360.00 $77,997.38 $48,531.71 2026-02-21
62400012-1362918 CDM Shell, 624 Rev Code, Fda Investigational Devices 32 20 $84,975.00 $50,985.00 40% off $12,746.25 $76,477.50 $48,435.75 2026-02-21
5911 APR_DRG Inpatient Aprdrg 5911: Neonate Birth Weight 500-749 Grams Without Major Procedur… 1 1 — — $48,103.61 $48,103.61 $48,103.61 2026-02-21
27801347-181497 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $73,800.00 $44,280.00 40% off $11,070.00 $66,420.00 $47,970.00 2026-02-21
2604 APR_DRG Inpatient Aprdrg 2604: Major Pancreas, Liver And Shunt Procedures 1 1 — — $47,841.18 $47,841.18 $47,841.18 2026-02-21
21 APR_DRG Inpatient Aprdrg 0021: Heart And/or Lung Transplant 1 1 — — $47,759.07 $47,759.07 $47,759.07 2026-02-21
92973 HCPCS Hc Percut Coronary Thrombectomy 29 20 $82,311.10 $49,386.66 40% off $2,579.00 $74,079.99 $47,740.44 2026-02-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 38 20 — — $6,182.00 $82,707.00 $47,610.19 2026-02-21
27801347-876560 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $73,078.50 $43,847.10 40% off $10,961.77 $65,770.65 $47,501.03 2026-02-21
1783 APR_DRG Inpatient Aprdrg 1783: External Heart Assist Systems 1 1 — — $47,281.06 $47,281.06 $47,281.06 2026-02-21
1214 APR_DRG Inpatient Aprdrg 1214: Other Respiratory And Chest Procedures 1 1 — — $47,253.85 $47,253.85 $47,253.85 2026-02-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 19 — — $6,182.00 $84,132.32 $47,183.20 2026-02-21
6313 APR_DRG Inpatient Aprdrg 6313: Neonate Birth Weight > 2499 Grams With Other Major Proced… 1 1 — — $47,081.08 $47,081.08 $47,081.08 2026-02-21
C2624 HCPCS Hc Cardiomems Monitoring Device (implant) 78 25 $76,477.50 $45,886.50 40% off $10,479.00 $68,829.75 $47,033.67 2026-02-21
6254 APR_DRG Inpatient Aprdrg 6254: Neonate Birth Weight 2000-2499 Grams With Other Significa… 1 1 — — $46,700.78 $46,700.78 $46,700.78 2026-02-21
6124 APR_DRG Inpatient Aprdrg 6124: Neonate Birth Weight 1500-1999 Grams With Respiratory Dis… 1 1 — — $46,566.29 $46,566.29 $46,566.29 2026-02-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 20 — — $23,749.00 $80,522.06 $46,480.16 2026-02-21
901 MS_DRG Wound Debridements For Injuries With Mcc 37 19 — — $6,182.00 $82,619.96 $46,375.61 2026-02-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 38 20 — — $24,597.65 $83,399.45 $46,321.58 2026-02-21
27801347-1322565 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $71,209.05 $42,725.43 40% off $10,681.36 $64,088.14 $46,285.88 2026-02-21
1603 APR_DRG Inpatient Aprdrg 1603: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $46,124.54 $46,124.54 $46,124.54 2026-02-21
2244 APR_DRG Inpatient Aprdrg 2244: Peritoneal Adhesiolysis 1 1 — — $46,051.00 $46,051.00 $46,051.00 2026-02-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 20 — — $9,144.00 $83,630.69 $45,937.92 2026-02-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 19 — — $6,368.00 $79,429.29 $45,925.02 2026-02-21
33270 HCPCS Hc Ins/rep Subq Defibrilllator 51 29 $99,435.35 $59,661.21 40% off $8,360.00 $89,491.82 $45,740.26 2026-02-21
6022 APR_DRG Inpatient Aprdrg 6022: Neonate Birth Weight 1000-1249 Grams With Respiratory Dis… 1 1 — — $45,730.14 $45,730.14 $45,730.14 2026-02-21
3614 APR_DRG Inpatient Aprdrg 3614: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $45,602.20 $45,602.20 $45,602.20 2026-02-21
27801494 CDM Hc Watchman Laa Closure Device 46 25 $70,040.00 $42,024.00 40% off $10,506.00 $63,036.00 $45,526.00 2026-02-21
27801347-1033551 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $69,893.46 $41,936.08 40% off $10,484.02 $62,904.11 $45,430.75 2026-02-21
914 APR_DRG Inpatient Aprdrg 0914: Other Major Head And Neck Procedures 1 1 — — $45,356.89 $45,356.89 $45,356.89 2026-02-21
93653 HCPCS Hc Compreh Electroph Eval Source Of Atrial R 51 29 $82,301.19 $49,380.71 40% off $12,345.18 $74,071.07 $45,265.65 2026-02-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 19 — — $22,883.85 $77,588.73 $45,218.07 2026-02-21
27801347-820405 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $69,408.43 $41,645.06 40% off $10,411.26 $62,467.59 $45,115.48 2026-02-21
27801661 CDM Hc Aortic Valve Evolut Medtronic 46 25 $69,300.00 $41,580.00 40% off $10,395.00 $62,370.00 $45,045.00 2026-02-21
27801347-777976 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $69,300.00 $41,580.00 40% off $10,395.00 $62,370.00 $45,045.00 2026-02-21
27801347-331887 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $69,105.07 $41,463.04 40% off $10,365.76 $62,194.56 $44,918.30 2026-02-21
204 APR_DRG Inpatient Aprdrg 0204: Open Craniotomy For Trauma 1 1 — — $44,893.98 $44,893.98 $44,893.98 2026-02-21
27801347-1340795 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $68,999.70 $41,399.82 40% off $10,349.95 $62,099.73 $44,849.81 2026-02-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 20 — — $22,616.55 $82,707.00 $44,829.03 2026-02-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 37 19 — — $6,182.00 $79,546.77 $44,734.52 2026-02-21
51 APR_DRG Inpatient Aprdrg 0051: Tracheostomy With Mv >96 Hours Without Extensive Procedur… 1 1 — — $44,588.74 $44,588.74 $44,588.74 2026-02-21
C1822 HCPCS Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys 130 25 $69,860.00 $41,916.00 40% off $8,905.04 $76,477.50 $44,525.20 2026-02-21
41 APR_DRG Inpatient Aprdrg 0041: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $44,503.11 $44,503.11 $44,503.11 2026-02-21
27400120 CDM Hc Power Base Unit-vad 46 25 $68,250.00 $40,950.00 40% off $10,237.50 $61,425.00 $44,362.50 2026-02-21
6 MS_DRG Liver Transplant Without Mcc 14 12 — — $26,670.60 $202,084.06 $44,226.87 2026-02-21
12 APR_DRG Inpatient Aprdrg 0012: Liver Transplant And/or Intestinal Transplant 1 1 — — $44,176.70 $44,176.70 $44,176.70 2026-02-21
1814 APR_DRG Inpatient Aprdrg 1814: Lower Extremity Arterial Procedures 1 1 — — $44,158.57 $44,158.57 $44,158.57 2026-02-21
2274 APR_DRG Inpatient Aprdrg 2274: Hernia Procedures Except Inguinal, Femoral And Umbilical 1 1 — — $44,023.58 $44,023.58 $44,023.58 2026-02-21
6604 APR_DRG Inpatient Aprdrg 6604: Major Hematologic Or Immunologic Diagnoses Except Sickle … 1 1 — — $43,879.01 $43,879.01 $43,879.01 2026-02-21
6234 APR_DRG Inpatient Aprdrg 6234: Neonate Birth Weight 2000-2499 Grams With Congenital Or P… 1 1 — — $43,869.94 $43,869.94 $43,869.94 2026-02-21
8424 APR_DRG Inpatient Aprdrg 8424: Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $43,820.58 $43,820.58 $43,820.58 2026-02-21
62400012-847925 CDM Shell, 624 Rev Code, Fda Investigational Devices 32 20 $76,137.60 $45,682.56 40% off $11,420.64 $68,523.84 $43,398.43 2026-02-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 19 — — $22,370.70 $75,848.88 $43,383.61 2026-02-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 38 20 — — $23,048.30 $78,146.31 $43,364.68 2026-02-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 37 19 — — $6,182.00 $76,525.80 $43,121.35 2026-02-21
27801923 CDM Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801929 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801928 CDM Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801924 CDM Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Cannula (law5267… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27802083 CDM Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801347-264193 CDM Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs) 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801927 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
27801926 CDM Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 15 Fr Arterial Cannu… 46 25 $66,280.50 $39,768.30 40% off $9,942.08 $59,652.45 $43,082.32 2026-02-21
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